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MR. DEREK JAMES WILSON LPC
NPI 1114348729
Counselor - Professional in Windsor, CT

Active since December 27, 2013
360 BLOOMFIELD AVE STE 301, WINDSOR, CT 06095(860) 471-3819 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Derek James Wilson Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DEREK JAMES WILSON LPC (NPI 1114348729) is an individual professional provider in Windsor, Connecticut, licensed in Connecticut (003206) and active in the NPI registry since December 2013. He maintains a secondary practice location in Waterbury.

NPPES Registry Identity

NPI1114348729
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. DEREK JAMES WILSONCredential: LPC
Location Address360 BLOOMFIELD AVE STE 301Windsor, CT 06095-2700
Mailing Address260 Carriage Crossing LnMiddletown, CT 06457-5864 · (860) 471-3819
Phone(860) 471-3819
Sole ProprietorNo
Enumeration DateDecember 27, 2013
Last NPPES UpdateOctober 2, 2018
✔ NPI 1114348729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 003206
360 BLOOMFIELD AVE STE 301, Windsor, CT 06095
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Secondary Practice Location 1

Location 150 Brookside RdWaterbury, CT 06708-1402 · Phone (203) 755-4490 · Fax (203) 573-8053

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLIN SCHMIDT NP-C
Nurse Practitioner (Psychiatric/Mental Health)
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095
Capitol Planning Region (860) 281-7687
MELISSA NOLAN
Behavior Technician
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095
Capitol Planning Region (877) 418-2978
NIYATI DAVE
Behavior Technician
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095
Capitol Planning Region (877) 418-2979
ALEXANDRIA JOSELYN TORRES
Behavior Technician
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095
Capitol Planning Region (888) 880-9270
HEATHER PRATT
Behavior Technician
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095
Capitol Planning Region (877) 418-2978
TATIANA LOPEZ
Behavior Analyst
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095
Capitol Planning Region (888) 880-9270
ALEXIS MARLEEN KINNEY
Behavior Technician
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095
Capitol Planning Region (818) 345-2345
CHARLENE A KELLY
Behavior Technician
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095
Capitol Planning Region (877) 418-2978

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Wilson's NPI number?

The NPI number for Derek Wilson is 1114348729. It was assigned to this individual provider in the NPPES registry on December 27, 2013.

Where is Derek Wilson located?

Derek Wilson practices at 360 Bloomfield Ave Ste 301, Windsor, CT 06095. The listed phone number is (860) 471-3819.

What is Derek Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Derek Wilson accept?

Health plans from Providence Health Plan list Derek Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Wilson was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.